And you said, "For moderate to severe Major Depressive Disorder don't waste your time [with exercise].
Your statement just isn't true.
There may be exceptions of course, but your statement is general.
Our world-first trial shows improving diet and doing more physical activity can be as effective as therapy with a psychologist for treating low-grade depression.
That sounds reasonable to me -- try diet and exercise (among other therapies) for patients with low-grade depression.
I had ECT in the family. I served a three-year internship as Assistant Psychologist in a provincial psychiatric facility. My research interest was catatonia.
I have seen mild, moderate, and severe depression. Diet and exercise are not useful therapeutic strategies for the latter.
It is the "exception" where it would be, not the rule